Oral Zinc Supplementation to Enhance Botulinum Neurotoxin Response

NCT ID: NCT05095493

Last Updated: 2021-10-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-01

Study Completion Date

2014-10-31

Brief Summary

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Botulinum neurotoxin (BoNT) is injected into muscles for treatment of dystonia. BoNTs are zinc proteases, and their enzymatic effect is reduced in the setting of low zinc. The study hypothesis is that a large enough fraction of unselected dystonia patients receiving BoNT injection have suboptimal zinc concentration in their tissues, and will experience improved response to BoNT if the injection is preceded by oral zinc supplementation (OZS). OZS consists of 50 mg of zinc acetate oral tablet each day for 7 days before injection. This is a double blind placebo controlled cross-over study, randomized order placebo and OZS, in patients at a neurology clinic on stable dose of BoNT.

Detailed Description

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Conditions

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Dystonia, Focal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Single site randomized placebo controlled trial, cross-over
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Pharmacy prepares vials labeled A and B, and reveals code to PI after data lock

Study Groups

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zinc, then placebo

Participants first received oral zinc acetate 50 mg tab each day for 7 days before scheduled BoNT injection. 3 months later participants received oral placebo (matching oral zinc) tablet each day for 7 days before scheduled BoNT injection.

Group Type EXPERIMENTAL

Zinc Acetate

Intervention Type DIETARY_SUPPLEMENT

50 mg tablet

Placebo

Intervention Type DIETARY_SUPPLEMENT

Zinc Acetate matched placebo tablet

placebo, then zinc

Participants first received placebo tablet (matching oral zinc) each day for 7 days before scheduled BoNT injection. 3 months later participants received oral zinc acetate 50 mg tablet each day for 7 days before scheduled BoNT injection.

Group Type EXPERIMENTAL

Zinc Acetate

Intervention Type DIETARY_SUPPLEMENT

50 mg tablet

Placebo

Intervention Type DIETARY_SUPPLEMENT

Zinc Acetate matched placebo tablet

Interventions

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Zinc Acetate

50 mg tablet

Intervention Type DIETARY_SUPPLEMENT

Placebo

Zinc Acetate matched placebo tablet

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Patients of the PI
* Age 18-80
* Male or female
* With an approved indication for BoNT such as dystonia or hemifacial spasm
* Have received either two or three BoNT injection cycles within the prior 8 months
* Prior two injection cycles length differed by no more than 2 weeks
* Prior two injection cycles used same brand of BoNT and similar dose within 15%

Exclusion Criteria

* Concommitant use of penicillamine or cisplatin
Minimum Eligible Age

18 Months

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Padraig O'Suilleabhain

Professor of Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Padraig E O'Suilleabhain, MD

Role: PRINCIPAL_INVESTIGATOR

UTSW

Other Identifiers

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STU-082021-075

Identifier Type: -

Identifier Source: org_study_id